PEACEFUL END OF LIFE IN LATE-STAGE CANCER PATIENTS: CONCEPT ANALYSIS BY WALKER AND AVANT

Authors

  • Sushanty Anjarwani Universitas Muhammadiyah Semarang, Indonesia
  • wahyuni Universitas Muhammadiyah Semarang, Indonesia
  • Aric Vranada Universitas Muhammadiyah Semarang, Indonesia
  • siti Aisah Universitas Muhammadiyah Semarang, Indonesia

DOI:

https://doi.org/10.36720/nhjk.v14i2.873

Keywords:

Concept analysis, peace end of life, Terminal Cancer

Abstract

Background:The increasing number of malignant cancer patients makes end-of-life care an inseparable element of nursing services. The concept of peaceful end-of-life is very popular , but it is complex and abstract. Understanding the concept of peaceful end-of-life helps professional nurses improve the quality of care outcomes for patients suffering from terminal or life-threatening illnesses. 

Objective:The researcher's goal was to clarify and clarify the understanding of the concept of peaceful end-of-life in end-stage cancer patients using the approach of Walker and Avant (2005). 

Methods: This concept analysis was conducted using the eight steps proposed by Walker and Avant.

Results:Attributes of peaceful end-of-life in advanced cancer patients include: freedom from pain, a feeling of comfort, acceptance of the disease, and the presence and support of those closest to them. Antecedents, consequences, and empirical referents are explained. Model cases, related cases, threshold cases, and conflicting cases are illustrated to further clarify the concepts. 

Conclusion: Four attributes are interconnected and play a role in forming a complete state of peace for terminal cancer patients according to Walker & Avant's analytical approach.

Downloads

Download data is not yet available.

References

Article, O., & Access, O. (2018). Parity : Is A Risk Factor For Surgical Site Infection In Patients With Caesarean Section? 7 (May), 53–57.

Assefa, G. (2020). Sustainable Peace and Sustainable Development: the Future of the Long Lived Predicament of the Human Family . https://uniselinus.us/sites/default/files/2021-06/Tesi Assefa.pdf

Babaei, E., Asghari, M. H., Mehdikhani, F., Moloudizargari, M., Ghobadi, E., & Pouya, S. R. H. (2017). The healing effects of herbal preparations from Sambucus ebulus and Urtica dioica in full-thickness wound models. Asian Pacific Journal of Tropical Biomedicine, 7(5), 421–427. https://doi.org/10.1016/j.apjtb.2017.01.013

Buntari Agustini, NLPI, Swarjana, IK, Israfil, I., & Suyasa, IGPD (2025). Development of a palliative end of life care (PEOLC) model based on transcultural nursing for patients in need of long-term care. Nursing Journal , 20 (2), 164–172. https://doi.org/10.20473/jn.v20i2.65544

D'Andria Ursoleo, J., Calì, C., Losiggio, R., Limone, V., Mucci, E., & Monaco, F. (2025). Spiritual Care in Palliative Medicine and End of Life: A Bibliometric Network Analysis. Journal of Palliative Medicine , 28 (2), 265–279. https://doi.org/10.1089/jpm.2024.0007

Danaher, T.S., Berry, L.L., Howard, C., Moore, S.G., & Attai, D.J. (2023). Improving How Clinicians Communicate With Patients: An Integrative Review and Framework. Journal of Service Research , 26 (4), 493–510. https://doi.org/10.1177/10946705231190018

De Vincenzo, F., Quinto, R. M., Iani, L., Durante, S., Scalpelli, C., & Lombardo, L. (2025). Peaceful acceptance and struggle with terminal cancer: The role of mindfulness, self-compassion, and body image distress. Palliative and Supportive Care , 23 . https://doi.org/10.1017/S1478951525000094

Dekker, J., Welling, C., & Labots, M. (2025). Acceptance in Patients With Cancer: A Scoping Review. Cancer Reports , 8 (11), 1–40. https://doi.org/10.1002/cnr2.70324

Delgado-guay, M.O., Rodriguez-nunez, A., Cruz, V. De, Frisbee-hume, S., Williams, J., Wu, J., Liu, D., Fisch, M.J., & Bruera, E. (2016). Advanced cancer patients' reported wishes at the end of life : a randomized controlled trial. Supportive Care in Cancer . https://doi.org/10.1007/s00520-016-3260-9

Edirisinghe, NP, Makuloluwa, PTR, Amarasekara, AATD, & Goonewardena, CSE (2025). Mitigating cancer pain: What else matters?—A qualitative study into the needs and concerns of cancer patients in Sri Lanka. PLOS ONE , 20 (1 January), 1–16. https://doi.org/10.1371/journal.pone.0302615

Fallon, M., Giusti, R., Aielli, F., Hoskin, P., Rolke, R., Sharma, M., & Ripamonti, C.I. (2018). Management of cancer pain in adult patients: ESMO Clinical Practice Guidelines. Annals of Oncology , 29 (July), iv166–iv191. https://doi.org/10.1093/annonc/mdy152

Gunawan, J., Aungsuroch, Y., & Marzilli, C. (2023). Beyond the classics: A comprehensive look at concept analysis methods in nursing education and research. Belitung Nursing Journal , 9 (5), 406–410. https://doi.org/10.33546/bnj.2544

Han, H.S., & Kim, M.Y. (2025). The End-of-Life Experiences of Cancer Patients' Families in a Tertiary Hospital Providing Palliative Care Consultation During the COVID-19 Pandemic. Journal of Hospice and Palliative Care , 28 (2), 40–55. https://doi.org/10.14475/jhpc.2025.28.2.40

Harrop, E., Noble, S., Edwards, M., Sivell, S., Moore, B., & Nelson, A. (2017). Managing, making sense of and finding meaning in advanced illness: a qualitative exploration of the coping and wellbeing experiences of patients with lung cancer. Sociology of Health and Illness , 39 (8), 1448–1464. https://doi.org/10.1111/1467-9566.12601

Imtiaz, T., Premavathy, D., & Kavitha, S. (2020). Curcumin — A better medicine to treat coronavirus: A review. Indian Journal of Forensic Medicine & Toxicology, 14(4), 4630–4638. https://doi.org/10.37506/ijfmt.v14i4.12368

Jarvis, C. B., Mackenzie, S. B., & Podsakoff, P. M. (2004). . A Critical Review of Construct Indicators and Measurement Model Misspecification in Marketing and Consumer Research , 30 (September 2003).

Jimenez, O. J. B., Trajera, S. M., & Ching, G. S. (2022). Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines. International Journal of Environmental Research and Public Health , 19 (19). https://doi.org/10.3390/ijerph191912953

Kwame A, & Petrucka P. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions : barriers, facilitators, and the way forward. BMC Nursing , 20 (158), 1–10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8414690/

Marco, C. A., Buderer, N., & Thum, D. (2005). End-of-life care: Perspectives of family members of deceased patients. American Journal of Hospice and Palliative Medicine , 22 (1), 26–31. https://doi.org/10.1177/104990910502200108

Murni, W., Widayati, CN, Winarni, D., & Pranata, S. (2025). Concept of Spiritual Wellbeing in End-of-Life Patients in Emergency Settings: A Literature Review . 5 (1), 14–24. https://doi.org/10.47650/pjphsr.v5i1.1682

Ngabonziza, S., Murekatete, M.C., Nyiringango, G., & Grace, S.M. (2021). Peaceful End of Life Theory: A Critical Analysis of Its Use to Improve Nursing Practice Method of Analysis . 4 (3), 412–417.

Pasopati, RU, Aprilla, EN, Wijaya, K., Kartiningsih, R., & Hariyono, H. (2024). The Preservations of Grief in Karen Jones' The Anatomy of the Aftermath. SALIENCE : English Language, Literature, and Education , 4 (2), 80–90. https://doi.org/10.60155/salience.v4i2.431

Pranata, S., & Wulandari, H. (2021). International Journal of Nursing and Health Services (IJNHS) A concept analysis of Self-management among diabetes mellitus . 4 (3), 356–367.

Puchalski, C.M., Sbrana, A., Ferrell, B., Jafari, N., King, S., Balboni, T., Miccinesi, G., Vandenhoeck, A., Silbermann, M., Balducci, L., Yong, J., Antonuzzo, A., Falcone, A., & Ripamonti, C.I. (2019). Interprofessional spiritual care in oncology: A literature review. ESMO Open , 4 (1), 1–12. https://doi.org/10.1136/esmoopen-2018-000465

Smith, M.A., Brøchner, A.C., Ph, D., Nedergaard, H.K., & Ph, D. (2024). “Gives peace of mind” – Relatives' perspectives of end-of-life conversations .

Sutantri, S. (2021). Submission to the will of god: Religion/spirituality as a cultural resource of Indonesian women living with cardiovascular disease. Open Access Macedonian Journal of Medical Sciences , 9 (T4), 224–230. https://doi.org/10.3889/oamjms.2021.5853

Tim, C., Vitorino, J., & Ali, A. M. (2024). Legacy in End-of-Life Care : A Concept Analysis . 2385–2397.

Welch, D.R., & Hurst, D.R. (2019). Defining the Hallmarks of Metastasis. Cancer Research , 79 (12), 3011–3027. https://doi.org/10.1158/0008-5472.CAN-19-0458

Wijaya, YA, Yudhawati, NLPS, & Ilmy, SK (2022). Theory Of Practice: A Peaceful End Of Life (Eol) Related To The Development Of Nursing Interventions In Supportive Therapy Area. Nursing of Science,3 (15), 1–10. https://www.researchgate.net/publication/359113249_ Theory_of_Practice_a_Peaceful_End_of_Life_EoL_Related_To_The_Development_of_Nursing_Interventions_In_Supportive_Therapy_Area

Xi, J., & Lee, M. T. (2021). Inner peace as a contribution to human flourishing: A new scale developed from ancient wisdom. In Measuring Well-Being: Interdisciplinary Perspectives from the Social Sciences and the Humanities (Issue 2021). https://doi.org/10.1093/oso/9780197512531.003.0016

Zaccara, AAL, Batista, PS de S., Vasconcelos, MF de, Dias, KCC de O., Aguiar, PKF de, & Costa, SFG da. (2020). Contributions of the theory of the peaceful end of life to the nursing care for patients under palliative care. Revista de Pesquisa Cuidado é Fundamental Online , 1247–1252. https://doi.org/10.9789/2175-5361.rpcfo.v12.9558

Zadeh, R.S., Analysis, E., Hall, R., Eshelman, P., Analysis, E., Setla, J., Faculty, V., Kennedy, L., Analysis, E., Hon, E., Basara, A., & Candidate, B.A. (2019). HHS Public Access . 55 (3), 1018–1034. https://doi.org/10.1016/j.jpainsymman.2017.09.011.Environmental

Downloads

Published

2025-12-29

How to Cite

Anjarwani, S., wahyuni, Vranada, A., & Aisah, siti. (2025). PEACEFUL END OF LIFE IN LATE-STAGE CANCER PATIENTS: CONCEPT ANALYSIS BY WALKER AND AVANT. Nurse and Health: Jurnal Keperawatan, 14(2), 72–81. https://doi.org/10.36720/nhjk.v14i2.873

Citation Check

Similar Articles

1 > >> 

You may also start an advanced similarity search for this article.